Organization
SPECTRUM FOR LIVING DEVELOPMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM G. MUILENBURG (CFO)
(201) 358-8000
Entity
Organization
Contact information
Practice address
210 RIVERVALE ROAD, SUITE 3, RIVER VALE, NJ 07675
(201) 358-8000
(201) 358-8089
Mailing address
210 RIVERVALE ROAD, SUITE 3, RIVER VALE, NJ 07675
(201) 358-8000
(201) 358-8089
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
83011
NJ
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6961703
—
NJ
Enumeration date
02/13/2007
Last updated
02/28/2020
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